IndividualActive
Alexander Blyth
NPI 1700414505 · Behavior Analyst · Algonquin, IL
Provider details
- NPI number
- 1700414505
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1-24-78078 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1104 Isabel Dr
Algonquin, IL 60102-3510
Phone: (815) 355-6026
Approximate (ZIP-level) locationGet directions
Mailing address
1104 Isabel Dr
Algonquin, IL 60102-3510
Registry dates
- Enumerated
- 2020-03-29
- Last updated
- 2024-12-26
- Certified
- 2024-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.